Surgeons dressed as poor people in the Republic of China

Chapter 139

When Dr. Carter arrived in a hurry, Wei Rulan's seizure was finally brought under control.

"Supplement with normal saline, and Lily, help the family members change the patient's clothes and bed sheets, and observe the basic signs every half an hour."

"Okay, Doctor Ye." Lily nodded vigorously.

After instructing the nurse, Ye Yibai's eyes fell on Wei Ruxue, "The patient's condition has stabilized for the time being. If there is no accident, he should regain consciousness in about half an hour. Come to my office after you perform the operation on the patient. , let’s talk about the patient’s condition, shall we?”

Wei Ruxue was a little dazed by the scene of Wei Rulan's attack just now, and couldn't recover for a while, so she didn't have time to argue with Ye Yibai about his business-like and disrespectful tone of "elders".

He just nodded in a daze, expressing his understanding.

Seeing this, Ye Yibai also secretly breathed a sigh of relief. For this Mrs. Yang, Dr. Ye couldn't think of what attitude he should take towards this Mrs. Yang.

According to Ye Xian and Zhang Su'e, this Mrs. Yang is their enemy, and they want to destroy her like the autumn wind sweeps away fallen leaves.But maybe it was because of later, Dr. Ye didn't have much feeling for the Ye family, Yang Suxin or this Mrs. Yang.

If it is said that the Ye family can still talk about the favor of giving birth, then Yang Suxin and this Mrs. Yang are at most strangers who can be named in Ye Yibai's heart.

But now Wei Rulan is his patient, and Wei Ruxue is the family member of the patient, Ye Yibai thought for a moment, and then adopted a business-like attitude.

"Teacher, Dr. Carter, go to my office." After instructing the nurses and family members, Ye Yibai turned his head and said to Professor Bonn and Dr. Carter who had just arrived.

Bonn and Carter nodded, and the three white coats walked out while discussing their condition.

"This is the second time, less than half a month?"

"To be precise, the interval is nine days. This is the patient's basic data and medication list for the past few days. Please take a look at it, Dr. Carter."

"Oh, you're on a combination drug?"

"Yes, I want to minimize the patient's dependence on drugs, but it seems that the effect is not good now."

By the time Wei Ruxue recovered, Ye Yibai had already disappeared at the door of the ward.

"Family, do you need help?" Lily re-injected Wei Rulan, adjusted the speed of the intravenous infusion, and said to Juanzi and Wei Ruxue.

"No, no need, let's do it ourselves." Wei Ruxue said hastily. Although it is the Republic of China now, the change of thinking does not happen in a short time. What's more, Wei Ruxue understands her sister. After urinary incontinence, the clothes are changed by strangers, so I'm afraid I will make a fuss.

Lily nodded upon hearing this, "Then I'll bring you new quilts and quilts, and you can change them yourself. It's just that the patient just got a new needle, so be careful not to let the needle slip out."

After Lili finished speaking, she was about to go out with the treatment tray, but the patient's family member suddenly said: "You Jihe is good at treating my sister's disease, do you have any other doctors?"

Lily stopped in her footsteps, turned her head and looked at Wei Ruxue suspiciously. Is it because she has a problem with her Chinese comprehension?

"I mean, who is the best doctor for epilepsy in Jihe? You know, as a family member, you always want to find the best doctor for your family." Wei Ruxue walked forward quickly and stuffed a wad of dollar bills into Lily's pocket.

Lily blinked her eyes, looked at Wei Ruxue, and then at the seven or eight dollar bills in her pocket, her mouth slightly opened, is this the legendary red envelope?

Has her little nurse, Lili, finally met the legendary red envelope after one month in the job?Oh, I'm actually a little excited.

But novelty is novelty, Lily still knows what to take and what not to take. She put down the healing tray in her hand, took out the dollar bill from her pocket and handed it back to Wei Ruxue.

"Family, we don't accept this. As for your question just now, epilepsy belongs to the Department of Neurology. Dr. Carter who just came later is the best doctor in our Department of Neurology. Family, I know what you are thinking, let me tell you directly , your sister's attending doctor is Dr. Ye, the head of the surgical team of our rescue center, and the person standing there just now is our chief surgical director of Jihe, Dr. Bonn.

Dr. Ye, Dr. Bonn, and Dr. Carter, these three doctors, any one of the three doctors will have to make an appointment for two months.And to be honest, our Jihe outpatient clinic is not so easy to make appointments. If it wasn't for Ms. Wei's luck to meet Dr. Ye when he was still on shift, no matter how much money you spend, it is impossible for these three The big doctors are here to discuss the condition together. "

Lily kept her mouth shut and didn't show Wei Ruxue any mercy.But what she said was true. Before the establishment of the temporary rescue center, whether it was Jihe or other hospitals, each department generally took care of its own, and it was rare for multiple departments to jointly see a doctor.

After the ambulance center was established, various departments were involved in emergencies, and Ye Yibai and Alan, a student of Dr. Bonn, the director of surgery, were the No. Yes, with subtle influence and the support of Dr. Cabed and Dr. Bonn, Jihe's multidisciplinary joint consultation has begun to take shape.

And this morning, after Kabede finished talking with Ye Yibai, he turned around and asked the nurse desk to hang up Ye Yibai's outpatient clinic. Although it was only a few hours, the appointment would not last for two months In the future, but Lili heard from Laura and the others that in the past few days, there have been dozens of calls asking Dr. Ye to open the clinic.

The amount of appointments in those two months was a matter of a few days, so it wouldn't be a lie if she said it in advance.

The smile on Wei Ruxue's face couldn't help froze, and the feelings in her heart were extremely complicated. At this time, she also knew the priorities, and would not hold Ye Yibai's identity in a difficult situation. Her relationship is not as good as that between Wei Rulan and her.

And... If Ye Yibai could really cure Wei Rulan, thinking of this, Wei Ruxue shook his head, how could it be possible.

Back then, her father, now Wei Rulan and Yang Dong, had seen countless Western doctors. A famous Western doctor once told her clearly that this disease is hereditary and congenital, and can only be controlled with medication, not cured.

Only then did Wei Ruxue give up, and instead used Chinese medicine to take care of Yang Dong slowly.

But what if?Thinking of this possibility, Wei Ruxue couldn't help but tremble all over, she was excited...

In the doctor's office, Dr. Ye didn't know that his nominal "aunt" had such high expectations of him. He and Carter frowned at Wei Rulan's medical records.

"Indeed, the patient can no longer tolerate the side effects of the drug. If the damage caused by the drug is similar to the epilepsy itself, I don't think it is a good choice to increase the dose and continue to take the drug." Carter said.

Ye Yibai turned the medical record to the page of the medicine list, "I tried combination medicine, but the effect was obviously not good. I had a second major seizure within nine days. I had to try another combination of different medicines, or try to locate the epileptic focus. Try surgical intervention."

"Doctor Bonn, you are an expert in surgery, what do you think?" Carter looked up at Professor Bonn.

Professor Bonn looked serious, "The risk of craniotomy is not small, and I haven't heard of this kind of surgery, what are you going to do?"

Although Professor Bonn was talking about you, his eyes were looking straight at Ye Yibai. Professor Bonn naturally knew that this bold treatment method must have been proposed by Dr. Ye.

"Use the EEG to locate the epilepsy-inducing area. If the epilepsy-inducing area is in a good position, you can directly perform resection surgery, such as the temporal lobe and cerebral hemisphere. In these places, direct resection is feasible."

"If it is difficult to locate the epileptogenic zone, or if there are multiple lesions, then the patient and the patient's family can choose whether to continue drug control or use palliative surgery."

"For palliative surgery, what are you going to do?" Professor Bonn's facial nerves tensed.

"The corpus callosum is cut, the transverse fibers of the pia mater are cut, or the vagus nerve is stimulated." Ye Yibai said.

Professor Bonn's brows frowned into a "Chuan". The brain is the key organ that controls the human body. Ye Yibai said that the corpus callosum is composed of nearly [-] million nerve fibers. It is the largest connecting fiber in the human brain and connects the two brain hemispheres. The kid really dared to say that he cut it as soon as he said it, and the sequelae of a bad one are quite terrible.

It is better to cut the transverse fibers under the pia mater. If only the cortical horizontal connecting fibers are cut, the impact on brain function will be slightly less, but this must be done near the cortex.

Bonn had heard about the operation of vagus nerve stimulation, and he had read reports in medical journals about the use of percutaneous vagus nerve stimulation in the treatment of epilepsy. From this alone, it can be seen that Ye Yibai is not just talking nonsense, but is really doing it. Propose a feasible surgical plan.

Bonn couldn't help being more satisfied with this student. Transcutaneous vagus nerve stimulation for epilepsy, this report was published in a mainstream medical journal, and Bonn remembered that this case was not eye-catching, but Ye Yibai was able to see it, which shows that he This student is really doing a good job in learning.

"Brain surgery is risky, so corpus callosum incision is better not to do. If the epileptic focus is in the cortex, fiber transection can be done, and vagus nerve stimulation can also be done. There is no need for craniotomy, and the risk is small. If the patient's family supports it, you can try it, but What are you going to do with this stimulator?"

Ye Yibai was silent for a few seconds, "The principle of the stimulator is not difficult, but how big can the smallest pulse generator be?"

"Size?" Professor Bonn looked up at him in surprise, "Are you still planning to implant this pulse generator in your body?"

Seeing that Ye Yibai didn't speak, even Professor Bonn, who was used to big scenes, couldn't help being speechless. This young man really dared to think.

"Such a small one can't be done. We can only manually intervene in the stimulation when there are signs of seizures, and let the patients bring the equipment home and use it when there are signs."

"In this case, the improvement of the quality of life is not obvious, so this can only be an option when there is no other way."

Professor Bonn frowned and thought for a moment, then nodded. He didn't understand that his student seemed to be very obsessed with improving the quality of life of patients?In the current surgical concept of excision and suture as the mainstream, Bonn can't quite understand Ye Yibai's obsession.

Dr. Carter listened carefully to the conversation between Bonn and Ye Yibai, and took a paper record while listening. Doctors at their level rarely have the opportunity to feel refreshed or suddenly enlightened.

But in the discussion between Ye Yibai and Bonn today, Carter rediscovered this feeling rarely, which made the neurologist very excited, "There is no problem with my neurology, if there is no problem with surgery." , I think you can try it.”

The three white coats looked at each other and reached a consensus.

At this time, there was a knock on the door, and Wei Ruxue stood at the door of Ye Yibai's office with a complicated expression.

Before she came to Ye Yibai's office, she still couldn't help asking other patients about Ye Yibai. When those patients looked at her with the eyes of "is this a fool", the self-esteemed Mrs. Yang momentarily Very embarrassing.

Especially when she met Counselor Thomas and heard that Mr. Thomas politely made an appointment with the nurse Ye Yibai, she suddenly understood that the son she despised as a daughter had become a son of theirs. An existence that needs to be looked up to.

"come in."